DR. MARGARET FRANCES MANCUSO, PH.D. - NPI NUMBER 1720149032

Summary

Provider Name: DR. MARGARET FRANCES MANCUSO, PH.D.

NPI Number: 1720149032

Clasification: Psychologist (103TC0700X)

Specialization: Clinical

Address:
5313 COLLEGE AVE
OAKLAND, CA
ZIP 94618

Phone Number: (510) 658-4639



Detailed Information

DR. Margaret Frances Mancuso, PH.D. is a clinical psychologist in Oakland, CA. The assigned NPI number for this provider is 1720149032 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

5313 COLLEGE AVE
OAKLAND, CA
ZIP 94618-416
Phone: (510) 658-4639

The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 103TC0700X Psychologist Clinical PSY 15030 CA Yes

NPI Record

No. Field Name Field Value
1 NPI 1720149032
2 Entity Type Code 1
3 Provider Last Name Legal Name MANCUSO
4 Provider First Name MARGARET
5 Provider Middle Name FRANCES
6 Provider Name Prefix Text DR.
7 Provider Credential Text PH.D.
8 Provider First Line Business Practice Location Address 5313 COLLEGE AVE
9 Provider Business Practice Location Address City Name OAKLAND
10 Provider Business Practice Location Address State Name CA
11 Provider Business Practice Location Address Postal Code 946181416
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 5106584639
14 Provider Enumeration Date 12/12/2006
15 Last Update Date 7/8/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 103TC0700X
18 Provider License Number 1 PSY 15030
19 Provider License Number State Code 1 CA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor Y

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.